Brucellosis differential diagnosis: Difference between revisions
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{{Brucellosis}} | {{Brucellosis}} | ||
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==Overview== | |||
Brucellosis must be differentiated from typhoid fever, malaria, tuberculosis, lymphoma, dengue, leptospirosis and rheumatic diseases.<ref name=d>Enfermedades infecciosas: Brucelosis -Diagnóstico de Brucelosis,Guia para el Equipo de Salud. Ministerio de Salud-Argentina. http://www.msal.gob.ar/images/stories/bes/graficos/0000000304cnt-guia-medica-brucelosis.pdf. Accessed on February 2, 2016</ref> | |||
==Differentiating Trichinosis from other Diseases[edit | edit source]== | |||
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|+ '''Differentiating Brucellosis from other Diseases'''<ref name=d>Enfermedades infecciosas: Brucelosis -Diagnóstico de Brucelosis,Guia para el Equipo de Salud. Ministerio de Salud-Argentina. http://www.msal.gob.ar/images/stories/bes/graficos/0000000304cnt-guia-medica-brucelosis.pdf. Accessed on February 2, 2016</ref> | |||
! style="width: 180px;background: #4479BA" |{{fontcolor|#FFF| Differential Diagnosis}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Signs & Symptoms}} | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | Typhoid fever | |||
| style="background: #F5F5F5; text-align:center" | High persistent fevers (104-105°F), particularly vespertine + constipation + relative bradycardia | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | Malaria | |||
| style="background: #F5F5F5; text-align:center" | Intermittent fever + chills + sweating + anorexia + nausea + cephalalgia + myalgia. Normal CBC or thrombocytopenia and/or hemolytic anemia + hyperbilirubinemia + normal or mild elevated erythrocyte sedimentation rate. Hepatosplenomegaly | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | Tuberculosis | |||
| style="background: #F5F5F5; bold; text-align:center" | Night sweats + weight loss. Dry or productive cough. | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | Lymphoma | |||
| style="background: #F5F5F5; text-align:center" | Painless superficial lymphadenopathy (cervical, supraclavicular, axillary or inguinal) + fever + night sweats + asthenia + weight loss + generalized pruritus | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | Dengue | |||
| style="background: #F5F5F5; text-align:center" | Fever + cephalalgia + retro orbital pain + myalgias + abdominal pain + arthralgia + cutaneous eruption + hemorrhagic manifestations | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | Leptospirosis | |||
| style="background: #F5F5F5; text-align:center" | Jaundice with no hepatosplenomegaly. Leukocytosis + neutrophilia + elevated erythrocyte sedimentation rate | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" |Rheumatic Diseases | |||
| style="background: #F5F5F5; text-align:center" | Protracted fever + weight loss + polyadenopathy + cough + thoracic pain + hemoptysis + dysphonia + weakness + ocular lesions. | |||
|- | |||
|} | |||
==Reference== | ==Reference== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 20:54, 2 February 2016
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Brucellosis Microchapters |
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Brucellosis differential diagnosis On the Web |
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Risk calculators and risk factors for Brucellosis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
Brucellosis must be differentiated from typhoid fever, malaria, tuberculosis, lymphoma, dengue, leptospirosis and rheumatic diseases.[1]
Differentiating Trichinosis from other Diseases[edit | edit source]
| Differential Diagnosis | Signs & Symptoms |
|---|---|
| Typhoid fever | High persistent fevers (104-105°F), particularly vespertine + constipation + relative bradycardia |
| Malaria | Intermittent fever + chills + sweating + anorexia + nausea + cephalalgia + myalgia. Normal CBC or thrombocytopenia and/or hemolytic anemia + hyperbilirubinemia + normal or mild elevated erythrocyte sedimentation rate. Hepatosplenomegaly |
| Tuberculosis | Night sweats + weight loss. Dry or productive cough. |
| Lymphoma | Painless superficial lymphadenopathy (cervical, supraclavicular, axillary or inguinal) + fever + night sweats + asthenia + weight loss + generalized pruritus |
| Dengue | Fever + cephalalgia + retro orbital pain + myalgias + abdominal pain + arthralgia + cutaneous eruption + hemorrhagic manifestations |
| Leptospirosis | Jaundice with no hepatosplenomegaly. Leukocytosis + neutrophilia + elevated erythrocyte sedimentation rate |
| Rheumatic Diseases | Protracted fever + weight loss + polyadenopathy + cough + thoracic pain + hemoptysis + dysphonia + weakness + ocular lesions. |
Reference
- ↑ 1.0 1.1 Enfermedades infecciosas: Brucelosis -Diagnóstico de Brucelosis,Guia para el Equipo de Salud. Ministerio de Salud-Argentina. http://www.msal.gob.ar/images/stories/bes/graficos/0000000304cnt-guia-medica-brucelosis.pdf. Accessed on February 2, 2016